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Questions and Answers
The updates to the procedural classifications of ICD-10-PCS is completed by?
The updates to the procedural classifications of ICD-10-PCS is completed by?
- NCHS
- AMT
- CMS (correct)
- AHIMA
What does CMBS-H stand for?
What does CMBS-H stand for?
Certified Medical Billing Specialist for Hospitals
CMS updates the ICD-10-CM diagnosis codes each quarter of the year.
CMS updates the ICD-10-CM diagnosis codes each quarter of the year.
False (B)
By using ICD-10-CM and ICD-10-PCS codes, health care diagnosis and procedural information can be collected, processed, and analyzed more effectively.
By using ICD-10-CM and ICD-10-PCS codes, health care diagnosis and procedural information can be collected, processed, and analyzed more effectively.
What does CHDA stand for?
What does CHDA stand for?
Multiple sclerosis is a condition of the _________ system.
Multiple sclerosis is a condition of the _________ system.
Code range A00-B99 is reported in which chapter of ICD-10-CM?
Code range A00-B99 is reported in which chapter of ICD-10-CM?
Sammy Smith sustained a fracture of his right ulnar. This would be reported with a code from the ICD-10-CM chapter entitled:
Sammy Smith sustained a fracture of his right ulnar. This would be reported with a code from the ICD-10-CM chapter entitled:
Code range F01-F99 is reported in which chapter of ICD-10-CM?
Code range F01-F99 is reported in which chapter of ICD-10-CM?
The first chapter in the ICD-10-CM is titled Disease of the Circulatory System.
The first chapter in the ICD-10-CM is titled Disease of the Circulatory System.
The __________ for the ICD-10-CM are general rules for use of the classification independent of the guidelines.
The __________ for the ICD-10-CM are general rules for use of the classification independent of the guidelines.
The ICD-10-CM Tabular List of Disease and Injuries contains categories, __________, and codes.
The ICD-10-CM Tabular List of Disease and Injuries contains categories, __________, and codes.
The 'Excludes 1' note _________.
The 'Excludes 1' note _________.
Colons are used after an incomplete term to identify nonessential modifiers.
Colons are used after an incomplete term to identify nonessential modifiers.
The _________ abbreviation in the Index represents 'other specified' when a specific code is not available for a condition.
The _________ abbreviation in the Index represents 'other specified' when a specific code is not available for a condition.
What is the main term referenced in the ICD-10-CM Index for the statement 'Complex tear of lateral meniscus of the right knee'?
What is the main term referenced in the ICD-10-CM Index for the statement 'Complex tear of lateral meniscus of the right knee'?
In the ICD-10-CM Index to Diseases and Injuries, the primary arrangement for diagnosis is by __________.
In the ICD-10-CM Index to Diseases and Injuries, the primary arrangement for diagnosis is by __________.
For the statement 'adhesive shoulder joint capsulitis', what is the main term to reference in the ICD-10-CM Index?
For the statement 'adhesive shoulder joint capsulitis', what is the main term to reference in the ICD-10-CM Index?
The Alphabetic Index and the Tabular List must both be used when assigning codes.
The Alphabetic Index and the Tabular List must both be used when assigning codes.
In the statement 'acute sinusitis due to allergies,' what is the modifying term?
In the statement 'acute sinusitis due to allergies,' what is the modifying term?
When an admission is for treatment of a complication resulting from surgery, which code is sequenced as the principal diagnosis?
When an admission is for treatment of a complication resulting from surgery, which code is sequenced as the principal diagnosis?
In the outpatient setting, the term 'first-listed' diagnosis is used in lieu of __________ diagnosis.
In the outpatient setting, the term 'first-listed' diagnosis is used in lieu of __________ diagnosis.
Dr. Cook records the following diagnosis: 'Abdominal pain ruled out of colitis or gastritis.' What is the principal diagnosis?
Dr. Cook records the following diagnosis: 'Abdominal pain ruled out of colitis or gastritis.' What is the principal diagnosis?
Section IV of the ICD-10-CM Official Guidelines for Coding and Reporting contains the Diagnostic Coding and Reporting Guidelines for __________ Services.
Section IV of the ICD-10-CM Official Guidelines for Coding and Reporting contains the Diagnostic Coding and Reporting Guidelines for __________ Services.
For bilateral sites, the first character of the codes in the ICD-10-CM indicates laterality.
For bilateral sites, the first character of the codes in the ICD-10-CM indicates laterality.
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Study Notes
ICD-10-CM Updates and Classifications
- CMS is responsible for updating the procedural classifications of ICD-10-PCS.
- CMS updates ICD-10-CM diagnosis codes quarterly; however, this statement is false.
- The conventions for ICD-10-CM provide general rules for code usage, independent of specific guidelines.
Medical Coding Specialists and Certifications
- CMBS-H stands for Certified Medical Billing Specialist for Hospitals.
- CHDA refers to Certified Health Data Analyst.
Disease Classifications
- Multiple sclerosis affects the nervous system and is classified under Chapter 6 of ICD-10-CM.
- The code range A00-B99 is for certain infectious and parasitic diseases.
- F01-F99 categorizes mental, behavioral, and neurodevelopmental disorders.
Code Structures and Usage
- Ulnar fractures are reported under "Injury and Poisoning and Certain Other Consequences of External Causes."
- The ICD-10-CM Tabular List includes categories, subcategories, and codes.
Coding Indicators and Notes
- "Excludes 1" means "not coded here" and indicates that the conditions listed should not be used together.
- Colons in the ICD-10-CM are not used for nonessential modifiers, making the previous claim false.
- The abbreviation NEC stands for "not elsewhere classified," directing to other specific codes in the Tabular List.
Index Arrangement and Terms
- Diagnoses in the ICD-10-CM Index are primarily arranged by condition.
- Main term for "Complex tear of lateral meniscus of the right knee" is "tear," while for "adhesive shoulder joint capsulitis," it is "capsulitis."
- In modifying terms, "acute" in "acute sinusitis due to allergies" is the term to focus on.
Principal and First-Listed Diagnoses
- When treating complications from surgery, the complication code is the principal diagnosis.
- In outpatient settings, "first-listed" diagnosis replaces "principal" diagnosis.
- Principal diagnosis during inpatient discharge may be classified as "abdominal pain" when ruled out colitis or gastritis.
Outpatient Guidelines
- Section IV of the ICD-10-CM Official Guidelines covers Diagnostic Coding and Reporting Guidelines for outpatient services.
Coding and Laterality
- The first character of ICD-10-CM codes does not indicate laterality for bilateral sites, making the assertion false.
- It’s essential to utilize both the Alphabetic Index and the Tabular List when assigning codes.
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